KEVIN MICHAEL HITES (NPI# 1639170723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639170723 |
| Entity Type | Individual |
| Full Name | KEVIN MICHAEL HITES |
| Credential | PA |
| Practice Address |
820 S University Blvd Bldg 1 Suite 1b Mobile AL 36609-7858 |
| Mailing Address |
820 S University Blvd Building 1 Suite 1b Mobile AL 36609-7858 |
| Practice Telephone | 2516335155 |
| Practice Fax Number | 2516334508 |
| Mailing Telephone | 2516335155 |
| Mailing Fax Number | 2516334508 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PA.255 | AL | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA9108726 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA.255 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA225 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA225 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS AL | 51181661 | 01 |
| Street Address |
820 S UNIVERSITY BLVD BLDG 1 SUITE 1B |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-7858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235532540 | Rachel Marie Hoadley-clausen | Psychologist | 820 S University Blvd Bldg 1, Mobile, AL 36609-7858 | 2014-09-30 |
| 1831537497 | Marchele Lynette Johnson | Nurse Practitioner | 820 S University Blvd Bldg 1, Suite 1b, Mobile, AL 36609-7859 | 2013-06-05 |
| 1437348711 | Theodore Kopp | Physical Medicine & Rehabilitation | 820 S University Blvd Bldg 1, Suite 1b, Mobile, AL 36609-7858 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1831191113 | Oliver Laurence Ezell | Physician Assistant | 1504 Springhill Ave, Ste 1365, Mobile, AL 36604-3207 | 2005-06-01 |
| 1144749821 | Angela Michele Martinsen | Physician Assistant | 75 S University Blvd, Ucom 6000b, Mobile, AL 36608 | 2017-09-14 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1386191740 | Leah Ambrose | Physician Assistant | 6701 Airport Blvd, Suite C138, Mobile, AL 36608-6705 | 2016-09-02 |
| 1396142717 | Casey N Byrnes | Physician Assistant | 4638 Bit and Spur Rd, Mobile, AL 36608-2646 | 2014-12-01 |
| 1194026815 | Harmony Brogden Paschal | Physician Assistant | 2350 Schillinger Rd S, Suite A, Mobile, AL 36695-4177 | 2010-11-11 |
| 1861792863 | Brianne Elizabeth Kestler | Physician Assistant | 1901 Springhill Ave, Mobile, AL 36607-2303 | 2010-10-25 |
| 1699083501 | Dana L Culpepper | Physician Assistant | 4310 Old Shell Rd, Suite D, Mobile, AL 36608-2049 | 2010-09-14 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.